Update on Celiac Disease in Children | Rachel Begun, MS, RD

I apologize for not posting last week, but it was for a good reason!  I was attending the Academy of Nutrition and Dietetics‘ annual Food and Nutrition Conference and Expo, in which I learned a great deal, including what I’m sharing here today.

It was good to see several sessions on the program about celiac disease (CD) and the gluten free lifestyle.  Unfortunately, I couldn’t make it to them all.  I did attended the session by Stefano Guandalini, MD, Founder and Medical Director of the University of Chicago Celiac Disease Center, and Nancy Patin Falini, MA, RD, LDN entitled, “Progressive Techniques for Treating Children on Gluten-Free Diets,” and wanted to share a few take-away points with you here.

  • CD is more common in c-section babies due to the microbiome that is acquired
  • CD is less likely in children who are breast fed at the time of gluten introduction
  • CD is more common if gluten is introduced too early (<4 months)
  • With respect to the last two bullets, infant feeding practices can affect CD in those who are susceptible

We are seeing new disease associations with CD, including:

We are also seeing a change in CD presentation in children:

  • the age of onset is increasing
  • atypical symptoms (non-GI) are increasing
  • GI symptoms are decreasing
  • changing severity of intestinal damage

To keep pace with the new information being uncovered about celiac disease in children and adults, visit The University of Chicago Celiac Disease Center website.

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